Résumé :
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[BDSP. Notice produite par INIST-CNRS R0xg77V4. Diffusion soumise à autorisation]. Despite the high prevalence of upper gastrointestinal symptoms and associated costs of diagnosis and management, evidence regarding long-term outcomes is scant. We studied symptom outcomes 18 months (FU1) and 8/9 years (FU2) post-index endoscopy to identify demographic, diagnostic and treatment factors associated with outcomes. A retrospective review of medical records at two Australian teaching hospitals identified a cohort of 302 patients who had an index endoscopy (performed by 23 endoscopists) 18 months previously. Patients were interviewed at FU1 and FU2. In total 34% (95% CI : 29.0-39.8) of patients were asymptomatic at FU1 and 41% (95% CI : 35.6-46.6) at FU2. For 63%, outcomes at FU1 predicted long-term outcome, with 19% (95% CI : 14.6-23.4) asymptomatic and 44% (95% CI : 38.4-50.0) symptomatic at both times. Those whose symptom status changed were as likely to deteriorate as improve (p>0.05). Number and severity of presenting symptoms (F=3.3, df=3,277, p
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